@article{oai:sapmed.repo.nii.ac.jp:00008128, author = {安斉, 公雄 and 妹尾, 誠 and 中村, 博彦}, issue = {1}, journal = {北海道脳神経疾患研究所医誌 = Journal of Hokkaido Brain Research Foundation}, month = {Mar}, note = {Spinal subarachnoidal hematoma is relatively rare entity and usually caused by iatrogenic spinal puncture or coagulopathy. The author presents a case of thoracolumbar subarachnoidal hematoma, operated emergently, and discussed the etiology of this rare pathology. Thirty-nine years old female house keeper was operated in her pituitary macroadenoma. Thirty hours after the operation, she suffered from monoparesis in her right lower extremity. Spinal MRI demonstrated subarachnoidal hematoma in her thoracolumbar region. Hematoma was removed emergently because her monoparesis progressed to paraplegia in a few hours. Her paraplegia was improved postoperatively and discharged without any neurological deficits. The coagulopathy was demonstrated just after her pituitary surgery due to operative invasiveness. We thought that hematoma was caused by the minor injury of lumbar subarachnoidal vessels at the insertion of spinal drainage in her pituitary surgery, and the coagulopathy influenced to the progression of hematoma.}, pages = {3--7}, title = {胸腰椎くも膜下血腫の一例}, volume = {16}, year = {2006} }